What is mastectomy surgery?
A mastectomy is the removal of the whole breast. It is the most extensive form of breast surgery performed for breast cancer. It may also be performed as risk-reduction surgery for patients at high risk of breast cancer, such as those with genetic mutations.
Why might a mastectomy be recommended?
There are several reasons why a mastectomy may be recommended. Some of these reasons include:
- Large breast tumours
- Multiple breast tumours
- Aggressive breast tumours
- Breast conservation surgery which fails to achieve clear margins
- Patients unable to receive breast radiotherapy
- Risk-reduction surgery
Are all mastectomies are the same?
There are several different types of mastectomy. These include:
- Total mastectomy: removal of the whole breast, including the nipple.
- Subcutaneous mastectomy: removal of the whole breast and nipple, leaving behind most or all of the skin of the breast. This is type of mastectomy is performed alongside a breast reconstruction.
- Nipple-sparing subcutaneous mastectomy: this is a type of subcutaneous mastectomy which leaves the nipple in place.
Not everyone is suitable for all types of mastectomy. This will be discussed further with you at your appointment.
Can I have a breast reconstruction?
Your mastectomy surgeon will provide you with information about breast reconstruction. There are several options available. Please see Breast Reconstruction Surgery for more information.